SYLLABUS EMA 6580, Section 5031 BIOMATERIALS FALL 2001 Instructor: Dr. C. Batich 3 Credits Office: 317 MAE M: Tuesday (2nd & 3rd), Thursday (3rd) Tel: 392-6630 Room: NEB 0101 (T), LARSEN 239 (TH) E-mail: cbati@mse.ufl.edu Office Hours: By appointment Dept. Chair: Dr. R. Abbaschian (phone 846-3301,100B Rhines Hall, Box 116400) Grading: (approximate) Three Tests Student Presentations (including audience participation) Student Paper/Proposal (due last day of class, December 4th) Device Sheet (due September 11th) 50% 10% 30% 10% OUTLINE OF CONTENT Part I Part II Part III Topic First Class/Introduction Scope Natural Biomaterials Metals and Ceramics Polymers Degradation Problems Biocompatibility - Toxicology Tissue Response/Histology Protein Adsorption, Thrombogenicity, Complement / Quiz #1 Reactive Implants, Bioglass Soft Tissue Implants (Inert) Degradable Implants/Skin Joints Tendons, Ligaments Dental Materials Quiz #2 Ophthalmological Materials Catheters Sensors Devices Hybrid Devices Controlled Drug Delivery Syllabus EMA 6580 - Biomaterials Part IV Page 2 Topic Sterilizations and Infections Regulations/Quiz #3 Student Presentations Guest Speakers Papers Due (Last Day of Class) Topics listed will vary somewhat from listings depending on the amount of detail and interest for each one. Make suggestions if you would like to see certain areas covered. BIOMATERIALS - FALL 2001 Report: One page, single-spaced, see attached example. Current Materials and Problems: (emphasis on current clinical use) 1. Hydrocephalic shunts (drains) 2. Intra-ocular lens 3. Contact lens 4. Adjuvants for immunization 5. Finger joints 6. Fillings (dental restorations) 7. Caps (dental restorations) 8. Hip implant - bone attachment 9. Hip implant - low friction surface (sliding part) 10. Cardiac catheter (balloon angioplasty) 11. Pacemaker electrodes 12. Transdermal drug delivery patches 13. Heart valves (treated, natural) 14. Heart valves (totally synthetic) 15. Dialysis tubing 16. Extra corporeal membrane oxygenator (ECMO) - membranes 17. Ligaments 18. X-ray contrast media: liquids (usually for angiography) 19. Skull plate/reconstruction 20. Tympanic membrane (ear) 21. Ear drainage tubes (myringotomy tubes) 22. Blood bags 23. Artificial blood 24. Foley catheters (urinary) 25. Implantable defibrillator electrodes 26. Guided tissue regeneration scaffolds 27. Ureteral stents EXAMPLE EMA 6580 - BIOMATERIALS August 22, 2001 Summary of a Medical Device Chris Batich Vascular Grafts (Arterial) A Common Use: Replacement of aneurysm of abdominal aorta (common ballooning was visible and eventually fatal) about 300,000/year in USA. History: Pre-1960: Piano wire, epoxy resin or treated cellulose sheets. 1952: (Voorhees and Blakemore), replacement of 17 aneurysms with synthetic tube (Vinyon-N) used in parachute cloth: a copolymer of vinylchloride and acrylonitrile. Materials Used (current underlined): Autologous, Vinyon-N, nylon, Dacron (PET), expanded PTFE Classification (FDA.gov): (optional) < 6mm: Class III (pre-market approval) Current Problems: Poor endothelial growth, poor performance in slow flow or narrow (< 6mm) areas, infections, kinkability, occlusion, fatigue failure (dilation, rupture and at anastamosis), increased problems distal to graft. Speculation on Future Use: Combined structure: "rip-stop" Dacron seeded with endothelium matrix and cells, better match of modulus (i.e., composite Dacron + elastomer). Experimental Studies (Currently): Endothelial seeding before implantation Glutaraldehyde stabilized human umbilical cord Polyurethane or silicone replamine (sea urchin spine) Acellular vascular matrix Surface modified synthetics Collagen impregnation Reference: 1. 2. 3. Clinical Experience with a Collagen Impregnated Woven Dacron Graft, Tolan M., Wells F., Kendall S., Large S., Wallwork J., J Cardiovasc Surg Torino, 36(4): 323-7 (1995). Seeding with Omental Cells Prevents Late Neointimal Hyperplasia in Small-Diameter Dacron Grafts, Pasic M., Muller-Glauser W., Odermatt B., Lachat M., Seifert B., Turina M., Circulation, 92(9): 2605-16 (1995). Follow-up Results of Synthetic Vascular Grafts in Children Undergoing Hemodialysis, Nayir A., Sonmez Y., Sirin A., Emre S., Aydogan U., Turk J Pediatr., 37(3): 223-8 (1995). FALL 2001 COURSE OFFERING - UNIVERSITY OF FLORIDA EMA 6580 - BIOMATERIALS Graduate Catalog Description: Undergraduate chemistry essential. Introduction to variables that control compatibility and performance of biomaterials, including physical and chemical properties, corrosion, fatigue, and interfacial histo-chemical changes. Textbook(s): None. Computer Use: needed for searching medical databases, web. Professor: C.D. Batich, Professor of Materials Science and Engineering - (352) 392-6630. Overview: This course is an introduction to the field of biomaterials from a materials science point of view. The goal is to understand materials selection, trade-offs and the limitations imposed by current materials on device performance. Initial sections will deal with an overview of important medical devices, their role in health care and their economic importance. A second section will describe the basic materials currently used. Polymers, metals and ceramics will be discussed and their major properties for medical applications examined. Properties discussed will include chemical stability (including metallic corrosion), mechanical properties and normal impurities present (e.g., residual monomers and antioxidants) which may influence biomedical use. Polymers will be emphasized. A third section will examine the meaning of "biocompatibility," with reference to the range of biological responses and environments available. Thrombogenicity, immunoresponse and various histological responses will be covered. An introduction to tissue types and the response of such types to implants will be presented. Finally, a number of major applications will be covered with discussion of current materials, limitations, and possible new research directions. These will include joints, organs (e.g., pancreas) and surgical aids such as adhesives and sutures. A paper will be required examining one aspect of biomaterials use in detail. The instructor will be Dr. C. Batich who conducts research on polymeric biomaterials in the Materials Science and Engineering Department at the University of Florida in conjunction with the College of Medicine and the College of Dentistry. EMA 6580: Biomaterials Final Paper: A biomaterials related research proposal in NIH format. It can be a new material, a new design, an evaluation of treatments, etc. Remember to emphasize materials used. Ask someone to read your report over before turning it in for obvious problems or grammar errors. A. Content 8-12 pages in length (double-spaced, i.e., about 250 words/pg for text, number pages, include name and date, 10 pt. type or larger). 1. Abstract: half page maximum (not on a separate page). Mention novel aspect of approach (your contribution). 2. Specific Aims: a numbered list (at least 3) of specific objectives (e.g., “measure the number of particles engulfed per macrophage averaged over at least ten cells”). Don't be general or vague ("measure biocompatibility of . . . "). Notice that the example given mentions specific materials (calcium) and numbers. 3. Background: include a clear statement of an existing problem or gap in knowledge to be addressed (no more than one page). 4. Technical Approach (methods): this is the core of the proposal. Include diagrams and planned experiments, both fabrication and testing, with expected results (ranges) and usefulness of the result to future use. Define abbreviations (e.g., THF is tetrahydro furan). Sketches are ok. I am more interested in content than nice graphics. 5. References: current and germane; please include titles of articles. If you make a general statement ("The major cause of... is...") reference it. Also reference any figures used. Include data in a standard format such as: author, title of article, title of journal, volume, pages, and year. B. Grading Primary: originality, practicality, well justified testing (technical approach). Secondary: format, references, communication quality (syntax, typos, and grammar). C. Use Health Center Library: 1. Network searching: NIH.gov (PubMed). 2. Medical Device Register (reference book, on reserve in library). 3. NIH Guide, available on-line. D. Use of Ideas Include one of the following sentences (or make up your own) to add after the references. 1. Confidential--please don't discuss this idea with anyone. 2. OK to discuss subject, I'd like to work on it though. 3. OK to discuss subject, please let me know if anyone works on it. 4. Free to discuss or develop or propose. C. Batich, Fall 2001 File Proposal